Carnevale, Philip Austin
Carnevale, Philip Austin is an sole proprietor health care provider with primary practice located at 5105 Bowden Rd , Jacksonville FL 32216. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Carnevale, Philip Austin can be contacted via phone (352) 870-4661.Contact Information
Primary practice address
5105 Bowden Rd
Jacksonville FL 32216
Phone: (352) 870-4661
Fax: (904) 212-2227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 9333709 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9333709 | Florida |
Profile Details
| NPI number | 1376049213 |
|---|---|
| LBN Legal business name | Carnevale, Philip Austin |
| Credentials | MSN, APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2018 |
| Last updated | Jan 9th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376049213 | NPPES |
| Florida | MEDICAID | 101879200 |
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